*Sorry this is late but we were scheduled for back to back meetings today.
When I arrived, Fela was still downstairs but came down for breakfast shortly afterwards. He seemed to be in a good mood despite sleeping for only two hours. After sitting on his rocking chair, he requested a DVD from his folder – ‘Marmaduke’. I did the board with him, and he seemed to be okay with watching a bit of the film then going to Chatterley Whitfield for a walk and finishing the film later. We retrieved the 30 minute hour glass from upstairs and told Fela 30 minutes of watching the film, but once the time was up, he kept asking for ‘5’.
He did not want me to pause the film which he was clearly enjoying. When I asked him for the third time if he wanted to go to the park, he said a clear ‘No’. I took the card off the board as I didn’t want to press him due to his red alert.
I left him with Teresa to watch the rest of the film and did some weeding in the front garden. After half an hour, I came in. Fela was listening to music so I made his sandwiches for lunch. Because he had a late breakfast and he was otherwise pre-occupied, we decided not to offer him a snack although we had packed two fruit for going out just in case.
Claire arrived at 12:00 to relieve me. I went to say goodbye to Fela, and he took my hand and insisted I play cards with him. He had chosen cards for the TEACCH board when we did the board after breakfast. I had put it on for before lunch so that’s what probably triggered him. When he handed me the cards I handed them to Claire, and re-assured Fela that she was a good card player and would play with him.
*Before leaving, I recommended to the team that they try to prompt Fela to lie down and have a nap after lunch for about an hour. Then hopefully, he would be amenable to going for a walk afterwards.
Arousal States – Start: 1 Baseline End: 1 Baseline Did his state change? Yes to Fela was slightly vocal on and off. Did he have a bowel movement? No Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: No – Why no exercise? Fela was on a red alert, and in the end did not want to leave the house to go to the park for a walk.